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  1. Fulltext. Interspecialty differences in the obstetric care of low-risk women.

    Article - En anglais

    Fulltext.

    Objectives

    This study examined differences among obstetricians, family physicians, and certified nursemidwives in the patterns of obstetric care provided to low-risk patients.

    Methods

    For a random sample of Washington State obstetrician-gynecologists, family physicians, and certified nurse-midwives, records of a random sample of their low-risk patients beginning care between September 1,1988, and August 31,1989, were abstracted.

    Results

    Certified nurse-midwives were less likely to use continuous electronic fetal monitoring and had lower rates of labor induction or augmentation than physicians.

    Certified nurse-midwives also were less likely than physicians to use epidural anesthesia.

    The cesarean section rate for patients of certified nurse-midwives was 8.8% vs 13.6% for obstetricians and 15.1% for family physicians.

    Certified nurse-midwives used 12.2% fewer resources.

    There was little difference between the practice patterns of obstetricians and family physicians.

    Conclusions

    The low-risk patients of certified nurse-midwives in Washington State received fewer obstetrical interventions than similar patients cared for by obstetrician-gynecologists or family physicians.

    These differences are associated with lower cesarean section rates and less resource use.

    Mots-clés Pascal : Soin, Obstétrique, Faible, Risque, Femme, Homme, Pratique professionnelle, Médecin généraliste, Médecin, Spécialité médicale, Sage femme, Comportement, Etude comparative, Etats Unis, Amérique du Nord, Amérique, Gestation, Personnel sanitaire

    Mots-clés Pascal anglais : Care, Obstetrics, Low, Risk, Woman, Human, Professional practice, General practitioner, Physician, Medical specialty, Midwife, Behavior, Comparative study, United States, North America, America, Pregnancy, Health staff

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0290301

    Code Inist : 002B30A05. Création : 15/07/1997.